Revenue Cycle Specialist: Medicare Collections
Pay range: $22/Hr. W2
Title: Revenue Cycle Specialist: Medicare Collections
Duration: 6 Months contract
Location: Denver, CO, Remote
Schedule: Monday- Friday 8 am - 4:30 pm MST (30 minute clocked out lunch)
Description:
Client is hiring Revenue Cycle Specialists for our Medicare Patient Accounts team in our Revenue Operations Department. Successful individuals in this role are highly ambitious, results-driven, and like root cause analysis. This position requires a high level of attention to detail, critical thinking, and the ability to work well as part of a fast-paced team. In addition, the ideal candidate has a high level of multitasking abilities, strong mathematical and analytical skills, and is driven by moving metrics to achieve success.
Specialists in this role will conduct collections activities which will entail contacting Medicare Administrative Contractors (MACs) to reconcile outstanding accounts receivable (debit balances), research and resolve problem accounts, and request rebills or adjustments on claims.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Research, initiate follow-up, and resolve all unpaid or underpaid system debit balances on Medicare insurance claims; Actions include but are not limited to remit and EOB review, calling payer(s) and clinics, rebilling claims, navigating payer portals, and taking adjustments in the billing system
Uses critical thinking, problem-solving and analytical skills to determine the root cause of our underpayments and follow appropriate documented policy and procedure to remediate
Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of Medicare claims
Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims
Stay current on communication relating to healthcare reimbursement and regulatory changes
Develop and maintain positive working relationships with clinical personnel, teammates, and payer representatives
Works well under pressure in a fast-paced environment, meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude
Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and client`s policies
Consistent and punctual attendance as scheduled is an essential responsibility of this position
Qualifications:
Required:
High school diploma or equivalent (GED)
Proficiency in Microsoft office tools such as Outlook, Word, PowerPoint, Excel, and OneNote
Excellent and demonstrated written and verbal communication skills
Computer competency; typing, basic computer troubleshooting, and navigation
Ability to problem solve and critically think root cause analysis
Preferred Qualifications:
Healthcare experience; insurance or revenue cycle is a plus!
- Insurance claim collections experience
- ** We offer health benefits and 401K Plan***
Apply tot his job
Apply To this Job